Klinische und experimentelle Kardiologie
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Abstrakt

Congenital Corrected Transposition of the Great Artery (ccTGA): A Complex Cardiac Anomaly: Challenges in Management in a Resource Poor Country: A Review Article

Josephat M. Chinawa

Background: Congenitally corrected transposition of the great arteries (CCTGA) is a rare complex cardiac anomaly with a unique anatomical lesion such that despite certain anatomical aberrations there could be physiologically normal circulation without any admixture. They could also be anatomical lesions and various clinical evolutions. Surgical intervention has continued to change and updated.

Methods: A search for published works on ccTGA was made using Google and Pub Med as well as searching through the Cochrane Database of Systematic Reviews, institute for Scientific Information (ISI) “Web of Science,” and Medline. The areas of focus were historical facts, patho-anatomy and patho-physiological correlates of ccTGA, management options and challenges in management in Nigeria.

Results and conclusion: Congenitally corrected transposition of the great artery is a complex cardiac anomaly with a complex anatomy and presents with constellations of features ranging from heart failure, heart block to deaths. The management of ccTGA is a huge challenge in a developing world in general and Nigeria in particular. This is worsened by the harsh economic situation, lack of political will, the current COVID-19 pandemic and lack of state- of-the-art facility and human resources. The cases in Nigeria are been underreported and so are the mortality caused by this cardiac anomaly.